Thomas Costello, LCSW

NPI 1679702427 · on the registry since 2009 · sole proprietor

Practice

Address: 335 S White St
Wake Forest, NC 27587
Phone: (984) 389-0566
Organisation at this address: Grounded Mental Health Care
Playful Minds Therapy & Wellness Center, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina